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Yemen, which has been devastated by civil war, has 580,000 unvaccinated
children, up from 424,000 three years ago. Photograph: Ahmad Al-Basha/AFP/Getty
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Yemen, which has been devastated by civil war, has 580,000 unvaccinated
children, up from 424,000 three years ago. Photograph: Ahmad Al-Basha/AFP/Getty
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Global development

This article is more than 5 months old


WAR IS LEAD CAUSE BEHIND HUGE DROP IN GLOBAL VACCINATIONS, UN WARNS

This article is more than 5 months old

Vaccine misinformation has added to crisis of collapsed healthcare and poor
nutrition, Unicef and WHO report

Supported by

About this content
Kat Lay, Global health correspondent
Mon 15 Jul 2024 00.00 EDTLast modified on Mon 15 Jul 2024 11.10 EDT
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Conflicts have hampered efforts to vaccinate children across the world, health
leaders have warned, as new figures showed about 14.5 million children had not
received a single immunisation dose.

More than half of the children live in countries where armed conflicts or other
humanitarian crises had created fragile and vulnerable situations, according to
data from the UN children’s agency, Unicef, and the World Health Organization.



The war in Sudan has led to a huge rise in numbers of unvaccinated children,
from about 110,000 in 2021 to an estimated 701,000 last year. Yemen has 580,000
unvaccinated children, up from 424,000 three years ago.

In addition to the 14.5 million “zero-dose” children in 2023, 6.5 million
children were “under-vaccinated”, meaning they had not received all their
recommended doses.



Both figures were up from 2022, officials said on Monday, warning that despite
progress in some regions, an international goal to halve the number of zero-dose
children by 2030 was off-track.

Dr Katherine O’Brien, the director of the WHO’s immunisation and vaccines
department, said: “This puts the lives of the most vulnerable children at risk.”

She said children in humanitarian settings “also lack security, they lack
nutrition, they lack healthcare, and are most likely as a result of those things
to die from a vaccine-preventable disease if they get it”.

Global vaccine coverage has yet to return to 2019’s levels, before the Covid-19
pandemic disrupted immunisation programmes. That year, 12.8 million children
were classed as “zero-dose” and a further 5.5 million as under-vaccinated.

More than half of the world’s zero-dose children live in 10 countries, which
officials said were “a mix of those with large birth cohorts, weak health
systems or both”.

They include Nigeria, India, the Democratic Republic of the Congo and Indonesia.
In 2023, Sudan, Yemen and Afghanistan joined the list.



Douglas Hageman, Unicef’s Sudan representative, said the country’s health system
had collapsed during the war.

Global failure to prepare for pandemics ‘gambling with children’s future’
Read more

“National vaccination coverage has plummeted from 85% before the war to around
50% currently, with rates averaging 30% in active conflict areas and as low as
8% in South Darfur,” he said.

Outbreaks of vaccine-preventable diseases such as measles, rubella and polio
were common, Hageman added.

Vaccinations in Yemen were “alarmingly low”, said Peter Hawkins, Unicef’s
representative in the country.

“A combination of factors that have further worsened in recent years, including
a lack of access to healthcare, vaccine hesitancy and worsening socioeconomic
and political crisis, have exacerbated the situation,” he said.

O’Brien warned that misinformation circulating during the pandemic was
“continuing to reverberate in many countries, and is actually resulting in
deaths”.

The UN report said there had been a strong increase in coverage of the HPV
vaccine, which can protect against cervical cancer, but it still needed to be
introduced in 51 countries, including China and India.

The headline of this piece was amended on 15 July 2024 to better reflect the
content of the article.

Explore more on these topics
 * Global development
 * Vaccines and immunisation
 * Global health
 * Conflict and arms
 * Health
 * Sudan
 * Yemen
 * news

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